| NPI | 1356537443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS JAMES VANANTWERP President 410-544-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD H0033830) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2009-03-30 |