| NPI | 1477129914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIPPACHONE SIRIDAVONG Executive Secretary 703-558-5500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-12-20 |