| NPI | 1912302555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADAN KUMAR UPRETY Member 703-596-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |