| NPI | 1548915671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABENA ADOKO ADOKO SANDO Owner 443-939-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |