| NPI | 1316167208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A BROOKMYER Health Officer 301-600-2509 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MD 14053) |
| Additional Taxonomies | 251S00000X (Licence: MD 14054) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-11 |