| NPI | 1063980464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOLARA O ADEOLA CEO 443-677-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-06-11 |