| NPI | 1508163320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE BRIDGETT C RN P 301-475-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: MD R096847) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MD R096847) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |