| NPI | 1710855879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIA MCCLAURIN President 240-205-7979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-11-04 |