| NPI | 1730960857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARENA ROBERTS Chief Executive Officer 443-300-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |