NPI | 1386063675 |
---|---|
Entity Type | Organization |
Authorized Contact | JOCELYN SWANSON-APOLLON CEO 443-604-4716 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D37874) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD D37384) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2022-10-12 |