| NPI | 1093185647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PETER WOLFE Medical Director 202-466-8109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: DC MD31590) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2016-01-05 |