| NPI | 1255146684 |
|---|---|
| Doing Business As | LIFE REPAIR CENTER OF FRONT ROYAL |
| Entity Type | Organization |
| Authorized Contact | STACEY PHILPOT Owner/Sole Member 540-823-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |