Provider Demographics
NPI:1003464116
Name:TECHNOTHERAPY PUBLIC BENEFIT CORPORATION
Entity Type:Organization
Organization Name:TECHNOTHERAPY PUBLIC BENEFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:SURYA
Authorized Official - Last Name:CHIRUVOLU
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC MA BSCS
Authorized Official - Phone:202-250-1230
Mailing Address - Street 1:2032 BELMONT RD NW APT 312
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5414
Mailing Address - Country:US
Mailing Address - Phone:202-250-1230
Mailing Address - Fax:
Practice Address - Street 1:2032 BELMONT RD NW APT 312
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5414
Practice Address - Country:US
Practice Address - Phone:202-250-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-01
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery CareGroup - Single Specialty