| NPI | 1235834896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BOREN Owner/Authorized Official 540-200-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-06-05 |