| NPI | 1619184132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESA E DAVIS President 703-858-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101234951) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |