| NPI | 1902153992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAI SEYEDAN Partner 703-688-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101232169) |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health (Licence: VA 0101232169) |
| 261QV0200X Clinic/Center, VA (Licence: VA 0101232169) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2015-10-10 |