| NPI | 1184957235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES L. LESSANS CEO 410-727-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD D0053043) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |