| NPI | 1639494487 |
|---|---|
| Other Name | HEALING CENTER AT SILVER LAKE GARDENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007474) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2012-07-20 |