NPI | 1720641509 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA OHIKU Director 410-404-7651 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2019-04-17 |
Last Update Date | 2020-05-06 |