| NPI | 1760540967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V RENEE BURDETT Medical Director CEO 703-670-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-02-03 |