| NPI | 1689881120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FIELDS Client Service Manager 410-398-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-05-05 |