| NPI | 1124083076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer/Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 008192) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-07-30 |