NPI | 1558567511 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA DICKSON Supervisor Revenue Collection 301-295-4934 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component |
Enumeration Date | 2007-06-26 |
Last Update Date | 2008-07-11 |