| NPI | 1225769789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HUNTER Director Of Revenue 202-464-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |