| NPI | 1841622586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FONTAINE Qa 410-277-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |