| NPI | 1245437151 |
|---|---|
| Doing Business As | PSYCH REHAB PROGRAM E BALT |
| Entity Type | Organization |
| Authorized Contact | RONALD J WERTHMAN VP Finance 410-955-6552 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MD 30034) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-12-10 |