| NPI | 1588209803 |
|---|---|
| Former Legal Business Name | WEIR WELLNESS, INC. |
| Entity Type | Organization |
| Authorized Contact | COREY WEIR President 815-370-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2021-06-21 |