| NPI | 1225718836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTINY NICOLE INGRAM VANTERPOOL Owner, Therapist 980-224-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |