| NPI | 1932090024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHTA GUPTA CFO 703-629-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |