| NPI | 1154495190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS WAYNE BALDOCK Chairman CEO President 443-548-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |