| NPI | 1720930449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PURNELL Owner/Medical Director 443-600-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-02-13 |