| NPI | 1538697495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA MICHELE BAXTER Program Director 443-812-4863 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD MH2318) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-07-21 |