| NPI | 1487030532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPA PATEL Co Owner 571-366-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007859) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |