| NPI | 1558519330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET STINE Administrator 410-662-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 30-031) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2020-02-04 |