Hackmatack, Llc.
NPI #1033871793 in Richmond, Illinois
Provider Information
- NPI Number
- 1033871793
- Entity Type
- Organization
- Organization Name
- Hackmatack, Llc.
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 11, 2021
- Last Updated
- Oct 11, 2021
Practice Location
Authorized Official
- Name
- MR. GRANT GOEHLER, LCSW
- Title
- DIRECTOR
- Phone
- (815) 528-4522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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