| NPI | 1063169084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA T MCCORMICK Data System Specialist 703-880-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |