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 |