| NPI | 1023485539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REZAKHAN District Manager 443-716-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD 23561) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |