| NPI | 1447670005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WARREN SCHULZ Psychiatric Nurse Practitioner 571-296-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024171247) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |