# MIZIZI-GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mizizi-group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649927948
- **Authorized official:** MR. DANIEL A YOUNG I RRT (CEO)
- **Authorized official phone:** (443) 673-9580

## Contact information

- **Practice address:** 552 NEW PITTSBURG AVE, DUNDALK, MD 21222-6206
- **Practice address phone:** (443) 807-4271
- **Mailing address:** 552 NEW PITTSBURG AVE, DUNDALK, MD 21222-6206
- **Mailing address phone:** (443) 807-4271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 03/07/2022