| NPI | 1689699274 |
|---|---|
| Doing Business As | CORA'S PLACE |
| Entity Type | Organization |
| Authorized Contact | RANDALL COOPER CFO 410-810-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-11-06 |