| NPI | 1902666845 |
|---|---|
| Doing Business As | MILLENNIUM |
| Entity Type | Organization |
| Authorized Contact | TENICIA S WASHINGTON Executive Director 443-409-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-10-15 |