NPI | 1619717923 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIQUE LYNNETTE JONES Chief Operations Manager 301-800-7641 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 305S00000X Point of Service |
Enumeration Date | 2024-05-27 |
Last Update Date | 2024-05-27 |