| NPI | 1689118291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR AVATAR ADOLEMAIU-BEY Medical Director/Pcp 443-216-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD R165813) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-09-26 |