| NPI | 1699303727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIETT NEVERDON Nurse Practitioner 443-416-5868 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |