NPI | 1518091453 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN JAMES STORER President 703-379-7215 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101-045175) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-11-23 |