| NPI | 1558735209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLAWALE ADEDEJI OSHIYOYE CEO 240-476-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 25370) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2024-01-16 |