NPI | 1255158812 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVESH DHRUVA KANJARPANE Chief Medical Officer 301-646-3279 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-09-24 |
Last Update Date | 2024-09-24 |