| NPI | 1285998955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JAN SOVEROW President 703-821-1324 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101029067) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |