| NPI | 1386910529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI YOUSEF GHATRI Chief Executive Officer 703-719-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: VA 0401007980) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |