| NPI | 1629592738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ANTONETTE FLETCHER Family Nurse Practitioner 410-671-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2025-12-20 |