| NPI | 1861297202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE NWADIKE Owner 240-423-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-04-02 |