| NPI | 1366733313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINLAWON OLUGBENGA AYENI Owner 703-408-8328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD D0057747) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-08-03 |