| NPI | 1376740449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMUNA D RAJU Psychaitrist 703-861-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0101236470) |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2011-12-21 |