| NPI | 1144718792 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TERESA RICHARDSON Chief Operations Officer 443-836-5376  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MD D0070766)  | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2018-04-30 | 
| Last Update Date | 2024-07-22 |