| NPI | 1336909068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SCHNECK COO 703-256-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |