| NPI | 1457409633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE M FLETCHER Director 703-779-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101050872) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2008-02-27 |