| NPI | 1487106472 |
|---|---|
| Doing Business As | COMMUNITY WELLNESS PRP |
| Entity Type | Organization |
| Authorized Contact | VERNON HOLMES Chief Executive Officer 202-651-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |