| NPI | 1932386257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICHARDSON Chief Executive Officer 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2022-01-18 |