| NPI | 1306177316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR FORD Owner 301-681-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D34589) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-02-01 |