| 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 | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine | |
| 208VP0000X | |
| 163WW0000X Registered Nurse, Wound Care | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2026-05-01 |