| NPI | 1609996149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J BROUILLETTE Regional Medical Director 301-881-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-04-24 |