| NPI | 1376864967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L CARSON Business Owner 410-696-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MD 01197) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-03-16 |