| NPI | 1649304460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE MULCAHEY Executive Director 301-645-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-09-03 |