| NPI | 1952568719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSH DIGAMBER SHENDE Executive Director 443-991-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2015-09-02 |