| NPI | 1629807441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI WADDY Senior Business Consultant 703-947-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-08-13 |