Organization · Type 2 NPI
Mind Bridge Center LLC
Addiction Medicine (Internal Medicine) Physician · Mc Lean, VA
Practice location
1390 Chain Bridge Rd # 10033
Mc Lean, VA 22101-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1790304616
Mind Bridge Center LLC's National Provider Identifier is 1790304616, issued on Apr 10, 2020. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Mc Lean, VA. The record was last updated on Apr 10, 2020.