| NPI | 1295393791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUBIN JIWANI Managing Member 703-589-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-12-16 |