| NPI | 1437567484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L STEPHENS Owner 301-219-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD R151109) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-03-31 |