| NPI | 1164094371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT MESFIN CEO 443-708-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |