| NPI | 1093252744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. PFENNIG Senior Manager 202-476-4447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-12-04 |