| NPI | 1851525471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA LYNNE BROWN-BRISTOL Co Owner 410-922-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD 03al1070-a) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |