NPI | 1619062478 |
---|---|
Former Legal Business Name | GOYA HEALTH, LTD |
Former Legal Business Name | HERRIN BEHAVIORAL HEALTH. LTD |
Entity Type | Organization |
Authorized Contact | ALYSON G. WOLZ Corp. President 618-559-3319 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 209-000115) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2025-05-06 |