| NPI | 1841963899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY C. LONG Chief Admin Officer 443-949-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-08-06 |