| NPI | 1750824082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE DYER C RN P Owner 410-489-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD R089671) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |