| NPI | 1134667447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY STUART ANDREWS Psychologist 703-598-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: VA 0810004019) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |