| NPI | 1881308682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ODUKOYA Managing Director 301-841-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-09-04 |