NPI | 1134787989 |
---|---|
Doing Business As | THRIVE CENTER FOR WELLNESS |
Entity Type | Organization |
Authorized Contact | DAVID VAIL Owner 217-303-5331 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2019-06-05 |
Last Update Date | 2019-06-05 |