| NPI | 1689723504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO AUGUSTO AYBAR Senior Clinician 703-533-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0718000136) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-13 |