Black Willow Holistic Center LLC
NPI #1184490872 in Salem, Illinois
Provider Information
- NPI Number
- 1184490872
- Entity Type
- Organization
- Organization Name
- Black Willow Holistic Center LLC
- Primary Specialty
- Religious Nonmedical Practitioner
- Enumeration Date
- Dec 4, 2023
- Last Updated
- Dec 12, 2023
Practice Location
Authorized Official
- Name
- CANDICE ULLERY, SBD
- Title
- OWNER
- Phone
- (618) 292-8518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Practitioner |
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