| NPI | 1043356595 |
|---|---|
| Doing Business As | MAGNOLIA MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | RYAN CAREY Chief Operating Officer 815-986-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-01-01 |