| NPI | 1295920338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L. DELAWTER President 703-257-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101051233) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 40899) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2016-10-11 |