| NPI | 1366526535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONETTE ROMERO INGRAM C RN P 410-605-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: MD R146458) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-06-24 |