Organization · Type 2 NPI
Black Willow Holistic Center LLC
Religious Nonmedical Practitioner · Salem, IL
NPI number
1184490872
Active
Practice location
301 Oglesby St
Salem, IL 62881-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1184490872
Black Willow Holistic Center LLC's National Provider Identifier is 1184490872, issued on Dec 4, 2023. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Salem, IL. The record was last updated on Dec 12, 2023.