Maitri Path to Wellness Pllc

NPI #1053018242 in Peru, Illinois

Provider Information

NPI Number: 1053018242
Entity Type: Organization
Organization Name: Maitri Path to Wellness Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 8, 2023
Last Updated: Apr 17, 2024

Practice Location

Address: 710 PEORIA ST
City: Peru
State: Illinois
ZIP Code: 61354-3351
Phone: (815) 780-0690

Authorized Official

Name: BRENDEN FASKEN
Title: CHIEF OPERATING OFFICER
Phone: (815) 780-0690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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