| NPI | 1083929996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MCCLAIN Director Of Business Operations 202-741-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-17 |