| 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 |