NPI | 1598195299 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN TEAGUE President/CEO 410-535-8239 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MD 04-001) |
Enumeration Date | 2013-11-15 |
Last Update Date | 2018-01-24 |