| NPI | 1760428692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK O. FASUSI Medical Director 202-291-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: DC HFD06-0113) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-02-13 |