NPI | 1942024732 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL OLUWASOGO FOWOWE CEO & President 410-496-5723 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X Clinic/Center | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2024-11-08 |
Last Update Date | 2024-11-08 |