| NPI | 1174679641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KELLY BUENAVENTURA President 703-751-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 51213) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-04-22 |