| NPI | 1003417817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L CHANG Co Founder/CEO 703-828-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2021-01-20 |