| NPI | 1790142115 |
|---|---|
| Doing Business As | OURSPACE ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | FARRIS THOMAS JOHNSON Executive Director 301-388-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |