| NPI | 1982118444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MUTCH Chief Executive Officer 410-837-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |