| NPI | 1659822906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY SARGENT Executive Director 301-336-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD LC4336) |
| Additional Taxonomies | 251S00000X (Licence: MD LC6768) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |