| NPI | 1104395110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADAN KUMAR UPRETY CEO 703-596-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |