| NPI | 1356896708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANDRA E CEPHAS Nationally Certified Phlebotomist 410-726-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD 681104140001) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 251E00000X Home Health | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-09-13 |