NPI | 1043853740 |
---|---|
Doing Business As | INNOVATIVE BEHAVIORAL MEDICINE LLC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J TUNDO Psychiatric Mental Health Np 202-322-9350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-10-25 |
Last Update Date | 2025-05-16 |