| NPI | 1669915146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE FIGUEROA Owner 301-219-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0031582) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0031582) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |