| NPI | 1548355613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOHN MCGANN Medical Director 301-662-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD D0029921) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-08-20 |