| NPI | 1609375682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY LONG Business Office Manager 410-834-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-12-16 |