| NPI | 1093383655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer/Authorized Official 202-815-3665 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2024-10-29 |