| NPI | 1316117302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNN HANNAH Office Mgr 410-879-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MD D0017174) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |