NPI | 1427322189 |
---|---|
Entity Type | Organization |
Authorized Contact | ANANA D ALBRITTON Quality Assurance Administrator 410-282-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MD MH-325) |
Enumeration Date | 2012-02-28 |
Last Update Date | 2023-09-05 |