| NPI | 1407577752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA VINOKUR Member 301-370-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QA0006X Clinic/Center, Ambulatory Fertility Facility | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-06-27 |