NPI | 1417774662 |
---|---|
Entity Type | Organization |
Authorized Contact | OBINNA OBIEJEMBA Owner 410-800-3440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2024-09-20 |
Last Update Date | 2024-09-20 |