| NPI | 1093946709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASRESAHEGN GETACHEW Statewide Medical Director 410-872-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: MD D0058537) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-30 |