| NPI | 1558540161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN KHALIL ABDO Owner/Physician 443-535-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0050878) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD D50870) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD D046855) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2010-09-16 |