| NPI | 1609176205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SUTHERLAND CEO/ Founder 703-587-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: VA 02-0814359) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2022-07-21 |