| NPI | 1841210390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YU-LING SHAO Co Director 410-704-4011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-05-28 |