| NPI | 1437106846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE K KLAUKA Administrator 301-665-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1224) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-03-22 |