| NPI | 1306099833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORYSE V BRATHWAITE Owner 301-705-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D46239) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |