| NPI | 1174279228 |
|---|---|
| Other Name | ICM CARES CLINIC |
| Entity Type | Organization |
| Authorized Contact | NURUDEEN THOMAS Treasurer 301-375-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |