| NPI | 1093050890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA CORREA Clinical Director/Owner 410-742-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD 11098) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2025-02-18 |