| NPI | 1154561389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD K LEE Medical Director 703-361-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| 208D00000X General Practice (Licence: MD D0054211) | |
| 208D00000X General Practice | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2024-05-20 |