NPI | 1760727069 |
---|---|
Entity Type | Organization |
Authorized Contact | GISELA DE LA PENA BAPTISTE Licensed Clinical Professional Coun 410-992-2224 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4436) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-11-28 |