| NPI | 1528423597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONEIGH KHALDUN Chief Medical Officer 410-396-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |