| NPI | 1124312806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE VIRGINIA WILLIAMS Executive Director 703-823-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 251X00000X | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |