| NPI | 1003326620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERWIN CHENG Administrator 703-352-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |