| NPI | 1710344718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COHEN Owner 540-658-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101032992) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |