| NPI | 1245789460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOMEYER Medical Director 703-340-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |