| NPI | 1003384678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNTE F HARRIS Owner 443-847-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2022-05-20 |