| NPI | 1225454291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMA N NNAMANI Director 703-505-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101246435) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |