Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Religious Nonmedical Health Care Institution |
282J00000X | B4[14] | Religious Non-Medical Health Care Institution |
| NPI Number | 1891270286 |
| LBN Legal business name | IMPAC CHRISTIAN PASTORAL COUNSELING MINISTRY |
| Authorized official | ROBERT POWER - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/01/2018 |
| Last updated | 01/31/2026 - About 4 months ago |
| Identifiers | n/a |
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