NPI | 1053585661 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA M SULLIVAN President 240-535-8968 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0055226) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |