| NPI | 1902926686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER RUBLE Sr. VP. CFO 240-964-8032 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-01-25 |