| NPI | 1447206370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GRISETTI Director Of Operational Support 410-991-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-06-06 |