NPI | 1649523937 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN E. WILSON Case Manager 410-887-3708 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD G13164) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2012-10-24 |