| NPI | 1235229014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE HUR Administrator 301-345-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1386) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |