| NPI | 1780956532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CLARK Clinical Director 301-493-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD R049255) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |