| NPI | 1346563285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. ROATH Physician/Psychiatrist 703-451-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0101020922) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2010-03-06 |