NPI | 1497181812 |
---|---|
Entity Type | Organization |
Authorized Contact | EUNICE OKORO Owner 240-413-9291 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X (Licence: MD R132487) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD R132487) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2015-03-12 |