| NPI | 1720480429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMADHAMED LABBAF President 571-989-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101253229) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2025-06-03 |