| NPI | 1083837231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SMITH Business Manager 301-589-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MD A1365) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |