| NPI | 1902348659 |
|---|---|
| Doing Business As | 1ST MEDICAL PAINREHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSEMARY INGADO Clinical Administrator 410-956-6800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 171W00000X Contractor (Licence: MD D40904) | |
| 174400000X Specialist | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2022-01-23 |