| NPI | 1790706844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL REYNOLDS Presidentmedical Director 410-248-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-11-23 |