| NPI | 1306244587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAURESKA Deputy Health Officer, Operations 410-222-7377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 904875) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |