| NPI | 1063699395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W RICHARDSON Chief Executive Officer 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-11-19 |