NPI | 1992529598 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE LYNNE HELLE Business Owner 309-338-6240 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-11-11 |
Last Update Date | 2024-11-11 |