| NPI | 1962711614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHA T. BANKS Medical Director 301-699-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DC MD18563) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |