| NPI | 1831153527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L. JORDAN Administrative Coordinator 410-757-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1029) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2008-08-12 |