| NPI | 1932352838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIS HIATT President 703-821-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0101045403) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2009-11-19 |