| NPI | 1689127797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JACOB Owner 703-522-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 101029299) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |