| NPI | 1083304901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINE T PATIPE Owner 202-758-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-04-10 |