| NPI | 1821794488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E PETERSON Director 202-315-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |