| NPI | 1831878024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR TAN Executive Director 301-429-2900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-21 |