| NPI | 1962208710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHINYERE MADUBUKO Administrator 240-334-1121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251J00000X Nursing Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |