| NPI | 1871884718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINH H NGUYEN CEO 703-598-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0104556154) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |