| NPI | 1720520810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BURGER Executive Director 443-451-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD 22259) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |