| NPI | 1255909842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAEZE OBIOHA Administrative Director 301-770-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-08-24 |