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Wolf Larson Enterprises Llc
Adolescent and Children Mental Health Clinic/Center in Washington, Illinois
NPI 1487151130

Wolf Larson Enterprises Llc is an Adolescent and Children Mental Health Clinic/Center based in Washington, IL and is specialized in Adolescent and Children Mental Health. Wolf Larson Enterprises Llc practices in Washington, IL. The NPI Number for Wolf Larson Enterprises Llc is 1487151130 and holds a License No. (Illinois).

The current practice location address for Wolf Larson Enterprises Llc is 1932 Deer Ln, Washington, IL and can be reached out via phone at 309-208-1288.

Location: 1932 Deer Ln, Washington, IL, 61571-9679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487151130
Provider Name
Wolf Larson Enterprises Llc
Credential
Provider Entity Type
Organization
Address
1932 Deer Ln, Washington, IL, 61571-9679
Phone Number
309-208-1288
Fax Number
Provider Enumeration Date
04/10/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1932 Deer Ln
City
Washington
State
Illinois
Zip
61571-9679
Phone Number
309-208-1288
Fax Number
person
Provider Business Mailing Address Details
Address
1932 Deer Ln
City
Washington
State
Illinois
Zip
61571-9679
Phone Number
309-208-1288
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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