| NPI | 1043244379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS W. BALDOCK Director And President 443-548-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: KY PENDING) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-09-06 |