| NPI | 1649800020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR RAO Owner/Physician 443-701-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| 174400000X Specialist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-07-24 |