NPI | 1669350005 |
---|---|
Entity Type | Organization |
Authorized Contact | BOLANLE AKINREBIYO Owner 202-631-7228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2025-08-25 |
Last Update Date | 2025-08-25 |