| NPI | 1699946079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REENA THOMAS Owner 540-242-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101242515) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |