| NPI | 1962719047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY SALE COREY Clinical Services Director 703-431-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |