| NPI | 1083957518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELAIKHA OLOMI Pharmacy Inte RN 703-111-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: VA 45880454524) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: DC 5584348535) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-05-26 |