| NPI | 1760625479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R. BALZARETT Psychiatrist 703-893-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0101023170) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0101023170) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |