| NPI | 1487189247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO ANDRES BORGES President 703-522-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101040132) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |