| NPI | 1700567229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SWIFT Associate Director 301-768-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-07-15 |