| NPI | 1063723997 |
|---|---|
| Doing Business As | NEURORESTORATIVE MARYLAND |
| Entity Type | Organization |
| Authorized Contact | LOREYONNA S JOHNSON-WILLIAMS Billing And Collections Specialist 813-626-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |