NPI | 1841496304 |
---|---|
Other Name | DIVISION HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN D BELLAMY CEO 410-728-4090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2024-11-19 |