| NPI | 1336798388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADDITOUTOU OGUNSOLA CEO 443-825-4051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |