| NPI | 1043652811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNKE OYERONKE ADETUNJI Clinical Director 240-291-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MD LC4175) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-24 |