| NPI | 1508917501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA M ERMOLD Staff Psychologist 240-857-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: VA 0810003522) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |