| NPI | 1437558186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ASHWORTH Member 703-856-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: VA 0001237937) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |