NPI | 1447078373 |
---|---|
Entity Type | Organization |
Authorized Contact | BOSEDE M ADELEYE Provider 301-798-5583 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |