| NPI | 1679690283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MARIUS JACOBSEN CEO And President 202-234-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1342) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: DC 14701) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC 14701) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC 14701) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: DC 14701) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: DC 14701) | |
| 208U00000X Clinical Pharmacology (Licence: DC 14701) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |