| NPI | 1053402800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSAR SHAND Manager 703-792-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-10-30 |