| NPI | 1154459949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN BRADFORD BERKELEY CEO 240-476-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD 02187) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |