| NPI | 1558358291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LACHER President 410-321-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1210) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |