NPI | 1477269447 |
---|---|
Doing Business As | INNOVATIVE CARE OPTIONS NETWORK |
Entity Type | Organization |
Authorized Contact | TIMOTHY NYAKANGO ONSERIO Clinical Director 240-966-4266 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
261QP2300X Clinic/Center, Primary Care | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2023-01-24 |
Last Update Date | 2025-02-24 |