| NPI | 1558508226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA PALMORE Assistant Director 301-594-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: VA 0101243619) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |