| NPI | 1093464075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLINT NWANGUMA CEO 443-613-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |