| NPI | 1225603806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOU ZHANG Chairman, Board Of Trustee 410-292-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |