| NPI | 1558754101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M HYMAN Executive Director, Founder 443-597-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD LC2706) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |