| NPI | 1245381789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN M FREDERICK Office Manager 703-226-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101056335) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-12-10 |