| 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 |