| NPI | 1568638567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E. HICKEY Executive Director 410-233-0684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD 903441) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |