| NPI | 1326467952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MCLELLAN CEO 410-354-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |