| NPI | 1023169752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY LIGHTY Administrator 301-652-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1337) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-08-20 |