| NPI | 1811605892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DARLING Clinical Operations Manager 443-677-0576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-04-02 |