| NPI | 1518547447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERAPHINE AGBOR Owner 301-247-9039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-11-20 |