| NPI | 1720840846 |
|---|---|
| Doing Business As | ILLUMINATE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MEWHORTER Vice President/Officer 540-222-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |