| NPI | 1356432207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN J GRANDERSON Administrator 703-642-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: VA 0101027333) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |