| NPI | 1346018587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SCHNECK COO 703-256-1600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2025-02-04 |