| NPI | 1790417772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA NICOLE GABOUREL-ANTHONY President 202-459-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2026-03-20 |