| NPI | 1619052891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFF FAILLA CEO 410-484-8088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1251R) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-02-05 |