| NPI | 1396509246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN HILLER Director 410-858-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-06-05 |