| NPI | 1437023348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNAH K ADEYEYE Program Director 443-405-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 246QL0900X Spec/Tech, Pathology, Laboratory Management | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 183500000X Pharmacist | |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |