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 |