Ironwood Mind Center PLLC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Sterling, VA. Organization (NPI-2).
NPI number1023831740
StatusActive
Last updated in NPPESNov 1, 2024
Details
- NPI
- 1023831740
- Entity type
- Organization (NPI-2)
- Legal business name
- Ironwood Mind Center PLLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2024
- Certification date
- Nov 1, 2024
- Last updated
- Nov 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | Yes |
| 2084P0005X | Psychiatry & Neurology, Neurodevelopmental Disabilities | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
14 Pidgeon Hill Dr Ste 320Sterling, VA 20165-6133
Phone 202-792-9009
Mailing address
12332 Towncenter PlazaPo Box 607
Sterling, VA 20164-7045
Phone 917-361-4330
Authorized official
Maninder Singh Bhutani
Director
9173614330
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