NPI | 1922532159 |
---|---|
Entity Type | Organization |
Authorized Contact | GENEVIEVE TATCHOU NGANOU Administrator, Clinical Director. 240-505-3581 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: DC RN1038305) |
Additional Taxonomies | 251B00000X Case Management (Licence: MD r216727) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2017-04-14 |