| NPI | 1639562366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES WEST Owner 202-257-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OH 125680) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2016-01-12 |