| NPI | 1770740888 |
|---|---|
| Other Name | WMTC |
| Entity Type | Organization |
| Authorized Contact | JOHN F. SELLATI Administrator 703-330-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: VA 013) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |