| NPI | 1992256135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR NAGARAJA President 540-479-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102202111) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |