| NPI | 1013988328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN LEWANDOWSKI Dha Financial Manager 703-817-4030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-06-17 |