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 |