| NPI | 1326091810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACYE A POLSON Executive Director 301-984-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 11020) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-05-01 |