| NPI | 1689427320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA BAKER Therapist 443-436-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |