| NPI | 1871965871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RICHARDSON CEO 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD MH-1250) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |