| NPI | 1952326134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY J CORREA-CASHDOLLAR Office Manager 410-833-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD 4490) |
| Additional Taxonomies | 261QM0801X (Licence: MD 4491) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-05-09 |