| NPI | 1871711689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BEHRAM Director 301-294-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1430) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-06-21 |