| NPI | 1245615335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN EDWIN SAFRAN Owner 202-487-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: DC MD9583) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2017-08-15 |