| NPI | 1043808124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEGAN MORIARTY CEO 301-676-6922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2026-04-24 |