| NPI | 1407016660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERYA LERA BALANNIK Partner 240-506-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-09-15 |