| NPI | 1689397739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA CORBIN Director Of Finance 301-732-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |