NPI | 1073534012 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GRISH Chief Financial Officer 703-858-6604 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH 652) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2020-08-22 |