| 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 |