| NPI | 1821156647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE RONCAL Accounting 703-790-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VI 0101019730) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-05-12 |