| NPI | 1235536137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN STONER Administrator 240-313-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2023-11-28 |