| NPI | 1093236200 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ISRAEL OLAOLUWASUPO OJO CEO/Program Director 410-233-1088  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy | 
| Enumeration Date | 2017-06-28 | 
| Last Update Date | 2017-06-28 |