| NPI | 1841208667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI R PAJARDO Owner 410-869-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MD 02049) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |