| NPI | 1164130936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO RICARDO CEO 443-515-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |