| NPI | 1225565500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEENEY ADRIAN Owner 202-966-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DC md043088) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |