| NPI | 1245053537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE OLLER BURR Director Of Professional Fees 410-706-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital Children |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 282NC2000X General Acute Care Hospital Children | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |