| NPI | 1750602025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE NATHANIEL REID Medical Director 410-227-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD D0058088) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |