| NPI | 1043791122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY FADOJU Provider 443-904-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD W18743245) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2026-04-17 |