| NPI | 1588095525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL YOUSEFI Director 703-255-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: VA 56390-MD) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |