| NPI | 1245661057 |
|---|---|
| Doing Business As | PRAIRIE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW GOLES President 630-715-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |