| NPI | 1568857688 |
|---|---|
| Doing Business As | PSI |
| Entity Type | Organization |
| Authorized Contact | MARCIA LYNN CLENDANIEL Billing Manager 410-810-2465 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 2662-A) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-10-18 |