| NPI | 1013154665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEA NISHITA MEHRA Owner 703-953-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: VA 0101240596) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: VA 0101240596) | |
| 261Q00000X Clinic/Center (Licence: VA 0101240596) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: VA 0101240596) | |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2011-06-11 |