| NPI | 1619730595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL HARP-WITHERSPOON Owner 410-776-8639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-20 |