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CATONSVILLE, MD
NPI1720641509
Entity TypeOrganization
Authorized ContactPAULA OHIKU
Director
410-404-7651
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies261QC1500X Clinic/Center, Community Health
Enumeration Date2019-04-17
Last Update Date2020-05-06
Business Address
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1000 INGLESIDE AVE STE 1
CATONSVILLE, MD 21228-1317
Phone number: 443-551-3784
Mailing Address
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1000 INGLESIDE AVE
CATONSVILLE, MD 21228-1317
Phone number: 443-551-3784