| NPI | 1831821784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ANUMAH Nure Practitioner 571-275-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-03-15 |