| NPI | 1083142780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADIMEJI ADEDIRE Administrator 410-383-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-10-13 |