| NPI | 1932249141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN M VELIS Administrative Assistant To Med Dir 202-939-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-01-08 |