NPI | 1376599001 |
---|---|
Doing Business As | MCLEAN NEUROSCIENCE |
Entity Type | Organization |
Authorized Contact | LEAH GAEDEKE Fnp/Clinic Administrator 703-356-1105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-05-25 |
Last Update Date | 2011-12-05 |