NPI | 1962388942 |
---|---|
Entity Type | Organization |
Authorized Contact | SHALAIYAH CORDOBA Owner 443-561-6139 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-14 |