| NPI | 1598285215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA MICHELE BAXTER Program Director 410-744-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD MH2319) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |