| NPI | 1043920242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCHUBERT Medical Director 703-839-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |