| NPI | 1972770782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA L. ASHLEY Fiscal Tech 410-778-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD D99941) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |