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 |