| NPI | 1902270309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL N MCLEOD President 301-251-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD SA000011) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |