| NPI | 1093148314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KIMMEL STONE President 571-271-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0002023442) |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-11 |