| NPI | 1477513125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN LEWANDOWSKI Dha Ubo 703-817-4030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2025-06-17 |