| NPI | 1073490264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GLOSBY Vice President Of Operations 301-766-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |