| NPI | 1427432350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK IMANOEL President 443-475-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care (Licence: MD 905624) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |