| NPI | 1386161495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CUNNINGHAM Nurse Administrator 301-752-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |