| NPI | 1548820780 |
|---|---|
| Doing Business As | MYSTREETHEALTH |
| Entity Type | Organization |
| Authorized Contact | N ELIAS Administrator 703-688-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-05-08 |