| NPI | 1295886034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JO CRAYTON Medical Director 703-226-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101056335) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-03-05 |