| NPI | 1063740199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELAKU AYALEW CEO 703-200-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101055711) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |