| NPI | 1629339874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA SPEARS-JOHNSON Executive Directo 301-772-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 251B00000X Case Management | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2025-08-20 |