| NPI | 1235007394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ABAWI Chief Operating Officer 571-205-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |