| 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 |