| NPI | 1629584511 |
|---|---|
| Doing Business As | TAPAS WELLNESS |
| Entity Type | Organization |
| Authorized Contact | EVAN HARRIS President 309-236-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 008410) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |