| NPI | 1619706462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVESH DHRUVA KANJARPANE Chief Medical Officer 301-646-3279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-09-18 |