| NPI | 1154176295 |
|---|---|
| Doing Business As | RESTORE PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | JACOB AMBROSE President 337-517-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |