| NPI | 1700104643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEOLA OPEYEMI ADEYEYE CEO 301-518-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251E00000X Home Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2026-05-19 |