| NPI | 1881439958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DANIEL BELLAMY CEO 410-735-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |