| NPI | 1255633277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAESUN HWANG Owner 571-274-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA S345186-3) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2011-01-05 |