| NPI | 1700512159 |
|---|---|
| Former Legal Business Name | EUNOIA WELLNESS BOUTIQUE, LLC |
| Entity Type | Organization |
| Authorized Contact | ARIELLE SMITH CEO 224-326-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |