| NPI | 1093885535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE R PICKENS President 703-329-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-10-16 |