| NPI | 1275710436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADDIS TESFAYOHANNES HAGOS President 301-220-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-02-23 |