| NPI | 1851973051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLESSING GABRIEL Mgr 443-985-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-04-02 |