| NPI | 1689965865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI JADIDI Director 703-492-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101230761) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |