| NPI | 1871103481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H THOMPSON CEO 410-800-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |