NPI | 1619221801 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J BROUILLETTE Regional Medical Director 410-682-2823 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2012-11-09 |
Last Update Date | 2023-04-24 |