| NPI | 1427923747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS THOMAS AUGUSTUS PRIOLO Delegated Official 443-643-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |