| NPI | 1326877879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE FRAZIER CEO 443-739-5814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |