NPI | 1033395637 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA B MCLELLAN CEO 410-354-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2014-03-20 |