NPI | 1871330233 |
---|---|
Entity Type | Organization |
Authorized Contact | MOSUNMOLA LAKE Manager 301-263-4890 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2000X Clinic/Center, Physical Therapy | |
261QP2300X Clinic/Center, Primary Care | |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2024-07-12 |
Last Update Date | 2024-07-12 |