| NPI | 1669656971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH QUIACHON BAUTISTA-QUINT Medical Director 703-823-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: VA 01-1232198) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2017-02-24 |