| NPI | 1689168452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLETTA LYNN MCKNIGHT Fiscal Account Manager 410-313-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-05-19 |