| NPI | 1023214863 |
|---|---|
| Former Legal Business Name | INGRAM COUNSELING PRACTICE |
| Entity Type | Organization |
| Authorized Contact | PAMELA INGRAM Executive Director 712-255-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IA 1284) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-05-30 |