| NPI | 1831867175 |
|---|---|
| Doing Business As | INNER SOURCE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DEBORAH J ASHWAY Owner 252-658-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-03 |