NPI | 1366999310 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA LYNN CLENDANIEL Billing Manager 410-810-2465 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 1990037507) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2017-05-02 |