| NPI | 1417766676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHRET GEZE GENBRO Credentialing Specialist 240-478-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |