| NPI | 1073984142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SULLIVAN Medical Director 571-262-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: VA 0024172999) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |