| NPI | 1750110946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVESH DHRUVA KANJARPANE Chief Medical Officer 301-646-3279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-09-18 |