| 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 |