| NPI | 1932472453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON KROHMER Assistant Director For Ice Health S 202-732-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: FL PA 9103676) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |