| NPI | 1851877211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED SALEH CEO 540-416-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301110383) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2019-08-08 |