| NPI | 1467231928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE ALONZO CHAPMAN Billing & Revenue Mgr. 410-396-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-03 |