| NPI | 1871323311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KOWSHOH YENCHI Owner 240-253-3898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-09-09 |