| NPI | 1942167960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLICIA NELSON VP Payor Financial Relations 301-572-6281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-12 |