| NPI | 1912269598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BLITCH President 703-435-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101020508) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |