| NPI | 1356598379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLENE VANESSA ROSS Medical Director 301-638-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0066434) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-11-20 |