| NPI | 1750686952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRIQUE BLAIR General Manager 301-699-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0040381) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2021-08-02 |