| NPI | 1528163912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE BURR Director Of Professional Fees 410-706-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 282NC2000X General Acute Care Hospital, Children | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-01-12 |