| NPI | 1104634047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITHE LOUIS-INGRAM Owner/Therapist 980-230-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2026-07-24 |