| NPI | 1538497094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES C OLACIREGUI President,CEO 301-518-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD MD D0009180) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-11-21 |
| Last Update Date | 2009-11-21 |