Organization
THE MAIA INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA A KLEIN MD (CHIEF MEDICAL OFFICER)
(202) 596-9585
Entity
Organization
Contact information
Practice address
2050 BALLENGER AVE STE 200, ALEXANDRIA, VA 22314-6847
(571) 551-6070
Mailing address
2050 BALLENGER AVE STE 200, ALEXANDRIA, VA 22314-6847
(571) 551-6070
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
0101251413
VA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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