NPI | 1245409424 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA S CASSATT CEO 410-467-6040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2012-12-12 |