| NPI | 1598058281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA SCHANTZ Owner/ President 202-285-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 041411557) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |