| NPI | 1912344797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILANJANA MOULICK Supervisor 410-479-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD D0027046) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |