| NPI | 1952626210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI C ALBANNA Office Manager 410-535-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD D12705) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2024-06-13 |