| NPI | 1396742029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 008512) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-10-07 |