| NPI | 1356647903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARE Administrator 301-334-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD D01124) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2024-08-20 |