| NPI | 1578928982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH OVERTON SWANN Director Managing Member 703-328-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |