| NPI | 1619612686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RANKIN Practice Manager 703-987-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |