| NPI | 1477192730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR R RAO Owner 301-703-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |