| NPI | 1508378738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANISHA HALL Owner 202-709-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2023-03-20 |