| NPI | 1881576445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLESSING ALICIA AJAYI Owner 410-458-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2026-06-18 |