| NPI | 1912407222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN NICHOLSON CFO 410-822-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2024-03-06 |