NPI | 1760250922 |
---|---|
Entity Type | Organization |
Authorized Contact | SYLVANUS BRENYA MENSAH President 443-219-6511 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-12-18 |
Last Update Date | 2023-12-18 |