| NPI | 1801481072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAFEMI SHODIPE Administrator 443-348-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |