| NPI | 1558974543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA KEISHA POWELL Owner 240-427-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-03-15 |