| NPI | 1780851204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETTA HERBERT Office Administrator 703-281-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0637509) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |