| NPI | 1871166033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIEMEZIE ONYEWUCHI Medical Director 240-475-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| 261QP2300X Clinic/Center Primary Care | |
| 261QU0200X Clinic/Center Urgent Care | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-11-08 |