| NPI | 1649793613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer / Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2024-09-18 |