| NPI | 1861884827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE ADAKU OKORO Owner 301-909-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD R132487) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: MD R132487) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MD R132487) | |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |