| NPI | 1821278052 |
|---|---|
| Doing Business As | PINECREST WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | THERESA WALSH Office Manager 703-354-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0631768) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-06-15 |