| NPI | 1235510736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE RILEY Medical Director 301-557-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD 20807) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |