| NPI | 1841056157 |
|---|---|
| Doing Business As | INNER LIGHT THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | MANDY MCCOY Owner 318-613-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |