| NPI | 1003511742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JAMES Managing Partner 410-622-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |