| NPI | 1669985248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNE MARIA CARROLL Medical Director 301-818-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D00042719) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2023-04-20 |