| NPI | 1275749277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY JOO BAILEY Director 703-558-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0101239697) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-07-22 |