| NPI | 1811228422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLYNDA WILLIAMS Hsc 410-636-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |