| NPI | 1285612283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ROCHON BUSH President 703-273-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 2305001398) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 2305002194) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2011-11-30 |