Organization
GUARDIAN THERAPEUTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE OBATUASE (ADMINISTRATOR)
(410) 394-9696
Entity
Organization
Contact information
Practice address
3350 WILKENS AVE, SUITE-302, BALTIMORE, MD 21229-4600
(410) 394-9696
(443) 552-3748
Mailing address
3350 WILKENS AVE, SUITE-302, BALTIMORE, MD 21229-4600
(410) 394-9696
(443) 552-3748
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
MH-1549
MD
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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