| NPI | 1396275608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAMA MAGONA Administrator 240-542-4195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-07-24 |