| NPI | 1598224636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY M SELLMAN Office Manager 443-351-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QG0250X Clinic/Center Genetics | |
| 261QH0100X Clinic/Center Health Service | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |