| NPI | 1124612049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REISDORF Admin 301-848-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |