| NPI | 1689224776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA SONGAMBELE Owner 703-826-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-09-09 |