| NPI | 1205013539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA B MCLELLAN CEO 410-354-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2014-03-18 |