| NPI | 1891205910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDEON EZIAMA Director/Administrator 443-804-1130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R152418) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |