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 |