| 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 |