| NPI | 1245522358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CRONIN Local Care Coordinator 703-889-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 000118165) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2011-05-08 |