| NPI | 1124484779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURE BERTILLE NDEUTCHOUA CEO 240-383-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MD R187557) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2021-02-02 |