| NPI | 1679882401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MCCANN Administrator/Authorized Official 410-847-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD d50592) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2020-02-05 |