| NPI | 1093109951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE OBATUASE Administrator 410-394-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD MH-1549) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |