| NPI | 1770753097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA SORINA MIHALACHE Director 703-385-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101238983) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-06-20 |