| NPI | 1912158684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE STEWART Nurse Administrator 410-404-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |