| NPI | 1265709778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BEALL Administrator 301-695-6466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D0029521) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |