| NPI | 1609033794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE JOSEPH President 703-379-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101038499) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2008-05-17 |