| NPI | 1811547540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE MOORE Managing Owner 240-856-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2021-07-26 |