| NPI | 1164013256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA CHADWELL Clinical Director 703-351-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |