| NPI | 1861146805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KOWSHOH YENCHI Owner 240-643-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-09-06 |