| NPI | 1174093660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA D HINDS Director 410-414-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |