| NPI | 1174077796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RICHARDSON Chief Executive Officer 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD MH-2052) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |