| NPI | 1407007289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANDREA GIBSON-JONES Clinical Director 443-762-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |