| NPI | 1003819665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C. LINDAMOOD President & CEO 410-837-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MD 383841200) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-03-15 |