| NPI | 1508352659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER IHEANACHO CEO/ Owner 443-629-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-08-16 |