| NPI | 1134265523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WAYNE Clinical Director 301-496-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: MD D0060633) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |