NPI | 1679809818 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE H YOUNG Supv. Medicaid Claim Unit 202-715-7803 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2009-10-22 |
Last Update Date | 2009-10-22 |