| NPI | 1598913857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETITIA W. SHORT Physician 410-337-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD D0061184) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2014-12-18 |