| NPI | 1598166498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A ANSARI Authorized Official 703-865-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101251769) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |