| NPI | 1912777475 |
|---|---|
| Doing Business As | 1530 MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEBORAH E OKONOFUA Provider 301-732-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-04-23 |