NPI | 1144789496 |
---|---|
Doing Business As | ENLIGHTENMENT & WELLNESS,LLC |
Entity Type | Organization |
Authorized Contact | BARBARA J HUMPHREY Therapist 765-727-0990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-03-17 |
Last Update Date | 2019-03-17 |