| NPI | 1285293340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TURNER RASCOE COO 443-708-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |