| NPI | 1760408165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER L GEAR Executive Director 410-876-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-08-08 |