| NPI | 1730124249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B ERIC JONES President 410-971-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD D0055168) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2023-10-29 |