NPI | 1174954705 |
---|---|
Entity Type | Organization |
Authorized Contact | ONYINYE C ONYEKWERE Medical Director 240-641-8160 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0063251) |
261QM2500X Clinic/Center, Medical Specialty (Licence: DC md33750) | |
261QP2300X Clinic/Center, Primary Care (Licence: MD D0063251) | |
261QP2300X Clinic/Center, Primary Care (Licence: DC MD33750) | |
Enumeration Date | 2013-12-08 |
Last Update Date | 2024-12-02 |