| NPI | 1831446574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET EGBE AYUK Clinical Pharmacist / Operations Ma 410-598-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: MD 13096) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2013-02-06 |