| NPI | 1730542499 |
|---|---|
| Doing Business As | MASCOUTAH WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STACY STEIN Owner/ Lcpc 618-566-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006373) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010102) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |