| NPI | 1710356522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MARGARETA POWELL-DAVIS Chief Medical Officer 202-424-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DC RN967590) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-09-29 |