| NPI | 1588130744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CRAIG Chief Operations Director 703-646-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-16 |