| NPI | 1922120047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FIRESTINE Chief Administrative Officer 240-777-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-12-17 |