| NPI | 1356199053 |
|---|---|
| Doing Business As | RETROSPECTIVE WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | ANGELLE KEMGRA HARRIS CEO/Owner 985-703-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-08-14 |