| NPI | 1982338406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TERRANCE MOORE CEO/Founder 443-953-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |