| NPI | 1679428254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERCELL SANTONIA BAYLOR Bussiness Owner 443-815-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2026-02-28 |
| Last Update Date | 2026-02-28 |