| NPI | 1568919793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BODDIE CEO 443-224-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD MH-2100) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2021-12-22 |