| NPI | 1366621641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A PIERING Owner/President 301-353-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 1409PT) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-05 |