NPI | 1154039162 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA OSHODI CEO 202-674-2576 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-11-08 |
Last Update Date | 2024-05-21 |