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 |