| NPI | 1023414828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA F HODGES CEO 301-868-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD 261QP2300X) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |