| NPI | 1811340540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAM HERISCHI Director 202-812-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0071488) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-19 |