| NPI | 1376758193 |
|---|---|
| Doing Business As | FAIRFAX HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | OSCAR HARTLEY Ubo Manager 571-231-2866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-12-20 |