| NPI | 1043615057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY RUTH INFANTE Owner 703-575-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101-046537) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2015-04-27 |