| NPI | 1780305110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUR ELIAS Officer 202-499-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-05-14 |