| NPI | 1215000997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLICIA NELSON Reimbursement Officer 301-572-6281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A13221) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-09-24 |