| NPI | 1942512942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO CANNON Practitioner 240-330-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD D28907) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2013-02-07 |