| NPI | 1003687781 |
|---|---|
| Former Legal Business Name | RESTORATION COUNSELING CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | KATHEIRNE DALSTRA Owner 601-595-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |