| NPI | 1760096473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER E GELMANN Managing Member 443-553-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2021-02-02 |