NPI | 1427244706 |
---|---|
Doing Business As | CSU COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SHAVON T. LEGETTE Associate Director 410-951-4188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-09-19 |
Last Update Date | 2013-02-22 |