NPI | 1487397873 |
---|---|
Other Name | OPEN GATES HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN DANIEL BELLAMY CEO 410-735-5265 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-04-14 |
Last Update Date | 2024-10-17 |