NPI | 1750856191 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON LYNN WARD Fiscal Chief 410-876-4977 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Additional Taxonomies | 251K00000X Public Health or Welfare |
Enumeration Date | 2018-10-12 |
Last Update Date | 2018-10-12 |