| NPI | 1740636216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FIRESTINE Chief Administrative Officer 240-777-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-05-23 |