| NPI | 1346286713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A HAWKINS CEO 410-354-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-09-19 |