| NPI | 1578745063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L BICKSEL Owner 703-328-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101236025) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2011-09-27 |