| NPI | 1376668889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. HOLDING Clinic Director 301-464-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 1186 PT) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |