| NPI | 1205183753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY PIERCE Director 301-315-3328 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: MD F03098993) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2015-02-24 |