| NPI | 1497096671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI MCFADDEN Office Manager 540-657-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101241371) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |