NPI | 1295214617 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES UZOMA EGBE CEO 410-616-9679 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2021-10-29 |