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 |