| NPI | 1093406712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PETERS Director Of Operations 703-722-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-02-02 |