| NPI | 1174790901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY O ROSS President 301-899-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D36924) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |