NPI | 1407157597 |
---|---|
Entity Type | Organization |
Authorized Contact | LARA E CROZIER Delegated Official 301-816-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD R094722) |
Enumeration Date | 2010-11-05 |
Last Update Date | 2021-05-26 |