| NPI | 1518262419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE MORAN Sole Proprietor 410-889-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD D0008093) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |