| NPI | 1639893753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIATU JOBI CEO 301-937-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |