| NPI | 1972026698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WOLINS Medical Director 703-997-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 0224000448) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |