NPI | 1467823773 |
---|---|
Entity Type | Organization |
Authorized Contact | CLEO LAVERNE EDMONDS Project Director 443-884-7642 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2015-10-13 |
Last Update Date | 2022-07-21 |