NPI | 1225531544 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ANN COLLINS Cheif Administrative Officer 443-270-8989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2018-03-13 |
Last Update Date | 2020-07-02 |