| NPI | 1871165092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVESH DHRUVA KANJARPANE Chief Medical Officer 301-646-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-09-18 |