| 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 | 251B00000X Case Management |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 172V00000X Community Health Worker | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-07-11 |