| NPI | 1477958429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAJIDE O RUNSEWE President 443-272-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D15720816) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care (Licence: MD D15720816) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2023-07-02 |