| NPI | 1891270286 |
|---|---|
| Doing Business As | IMPAC CHRISTIAN COUNSELING, INC |
| Doing Business As | IMPAC CHRISTIAN COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ROBERT ELLIS POWER Director 929-434-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-01-01 |