| NPI | 1528542289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL KOGAN Chair Of The Board 202-833-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |