| NPI | 1750899241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BERCHIE Owner 443-651-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MD R186965) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD R186965) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |