| NPI | 1376918318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK KUMAR Medical Director 703-865-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 2794) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |