| NPI | 1639379159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHEB ANDRAWIS Director 703-933-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101232408) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-06-25 |