| NPI | 1841362720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEN J. FARHA President 410-321-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1289) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-12-23 |