| NPI | 1063813442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUPING ZHOU Director 703-303-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: VA 0101254394) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |