| NPI | 1376368043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE REGINA THRASHER- IGORI Owner 469-379-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-11-03 |