| NPI | 1306455936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER COKER Provider Relations Manager 301-423-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-08-21 |