| NPI | 1942086962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI ADEDAYO AJE CEO/Medical Director 571-409-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |