NPI | 1285018226 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN D BELLAMY CEO 410-728-4090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-07-18 |
Last Update Date | 2018-02-13 |