| NPI | 1518599679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR RAO Owner / Physician 443-701-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-11 |