| NPI | 1689133183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDOLAZIM SHAHSAVAR Physician And The Practice Owner 571-331-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-15 |