| NPI | 1083388631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R MOANEY CEO 410-924-7912 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2022-01-24 |