| NPI | 1710255047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS TATE Deputy Director Of Office Operation 202-720-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: DC MD6710) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2023-03-07 |