Capital Area Psychiatric Svc.
Clinic/Center in Vienna, VA. Organization (NPI-2).
NPI number1962678789
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1962678789
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital Area Psychiatric Svc.
- Organization subpart
- No
- Enumeration date
- May 1, 2008
- Certification date
- Nov 7, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2235 Cedar Ln Ste 302Vienna, VA 22182-5247
Phone 703-889-5406 · Fax 703-430-9785
Mailing address
44121 Lessburg PikeSte 250
Ashburn, VA 20147-5674
Phone 703-831-4207 · Fax 703-430-9785
Authorized official
Hemanjani Gonchigar
Ceo
3014616961
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