| NPI | 1154871309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA LILLIAN BAYLOR Therapist 410-870-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7219) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-01-08 |