| NPI | 1780683490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer/Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 7914) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2025-06-16 |