| NPI | 1356311419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN THOMAS Medical Director 410-749-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1077) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2015-03-20 |