| NPI | 1164652160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEDION ATNAFU Medical Director 410-650-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0062148) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |