| NPI | 1124149851 |
|---|---|
| Other Name | AMEN CLINIC NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA T MCCORMICK Data Systems Specialist 703-880-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084D0003X |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-01-19 |