NPI | 1386292019 |
---|---|
Other Name | INNER LIGHT THERAPY CENTER LLC |
Entity Type | Organization |
Authorized Contact | JAYME LILES Owner 337-247-4370 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-08-16 |