| NPI | 1508047960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANIEL MILLER President 301-334-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MD H0026154) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-04-20 |