| NPI | 1609274505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer / Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2024-09-18 |