| NPI | 1700296969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DWYER Program Director 443-777-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |