| NPI | 1912090432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P. LAWLOR Administrator 202-416-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DC HFD06 0105) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-03-06 |