| NPI | 1821036534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI HARRIS CEO 240-420-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD application pending) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-12-26 |