| NPI | 1457049496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CAMPBELL CFO 443-580-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-06-13 |