| NPI | 1952112567 |
|---|---|
| Former Legal Business Name | ANOTHER CHANCE PSYCHOTHERAPY AND CONSULTATION SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MARION AMMA LAKE Owner 980-785-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-17 |