| NPI | 1558955351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GELMANN Managing Member 443-553-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |