| NPI | 1265580831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LABRENDA HURST HAYNES CEO 703-398-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 860) |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |