| NPI | 1386662971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MANGAT President 703-858-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101232595) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-11-28 |