| NPI | 1922354075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESHOME TEGENE Program Director 301-618-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |