NPI | 1700858040 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA A ROGERS Executive Vice President 703-924-4148 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-22 |