| NPI | 1720402415 |
|---|---|
| Doing Business As | HAROLD WILLIS CENTER |
| Entity Type | Organization |
| Authorized Contact | TINA MARIE ALLEN CEO 202-679-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD 19625) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |