| NPI | 1255312203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REESE Executive Director 410-837-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD 900128) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |