| NPI | 1295048684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADAN UPRETY CEO 703-596-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-12-18 |