| NPI | 1659503449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J WEST Owner 202-570-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DC MD038324) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-01-29 |