| NPI | 1619248515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY SUTTON President/CEO 443-703-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2024-02-02 |