| NPI | 1336479278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MATHEWS President 540-467-3615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.121203) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2010-11-08 |