| NPI | 1316824527 |
|---|---|
| Doing Business As | IMPACT LIFE OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAUREN STEWARD Director Of Administration 302-388-1828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |