| NPI | 1477232189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAR LIDA TEHRANI CEO 571-354-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-09-16 |