NPI | 1629378864 |
---|---|
Entity Type | Organization |
Authorized Contact | ABILA VIOLET TAZANU Executive Director 301-618-8395 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MD doo55053) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2019-08-13 |