| NPI | 1225128424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAEZE I. OBIOHA Administrative Director 301-770-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1254) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-12-28 |