| NPI | 1093448011 |
|---|---|
| Doing Business As | GIBSON RECOVERY OPTIMIZING WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ERTEL Chief Financial Officer 217-784-2601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-08-02 |