| NPI | 1306528534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SCHNECK COO 703-253-1600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-11-20 |