| NPI | 1023234598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANAKO BROUGHTON Owner 202-296-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DC MD33594) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |