| NPI | 1225337504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI MIREBRAHIMI-TAFRESHI President 443-739-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101247765) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2012-01-12 |