| 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 |