| NPI | 1518244532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FOOKS Owner 410-924-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DE PC-0000190) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2020-02-10 |