| NPI | 1508661547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL AGBANYIM Owner 443-401-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-05-20 |