| NPI | 1023748480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE YVETTE GOODMAN Co Owner 301-674-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center Ambulatory Family Planning Facility |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |