| NPI | 1902448335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESSA WILLIAMS Executive Director/CEO 443-744-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-09-24 |