| NPI | 1811618598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BAILEY DEXTER Nurse Practitioner 703-946-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |