| NPI | 1841955358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL KHAWAND Governing Board Chair 703-622-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |