| NPI | 1417329426 |
|---|---|
| Doing Business As | TWO ROADS WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JESSICA NEMECZ Counselor 217-651-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2024-05-20 |