| NPI | 1831527183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BASEHART Executive Director 301-917-6806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD AC000765) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2024-11-22 |