NPI | 1871178947 |
---|---|
Doing Business As | ILLUMINATE MENTAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | ANGELA KAY WORKMAN Lisw S 330-317-7240 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-03-10 |