| NPI | 1306720065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM WASHINGTON Medical Director 443-432-8056 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |