| NPI | 1811503089 |
|---|---|
| Doing Business As | INNER ELEMENTS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANN MARIE SANDS Owner, Clinician 815-557-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |