| NPI | 1285171199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN E HOLLAND President & CEO 410-749-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2018-09-28 |