| NPI | 1215485396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANIE CLEMENT RODRICK Chief Financial Officer 202-464-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: DC 52194XXXX650001047) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-09-23 |