| NPI | 1295269694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA RIZWAN Director 571-251-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101238675) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-13 |