Matt Domico Lcsw Llc Valid NPI
Organization · Adult Mental Health Clinic/Center · Peoria, IL
- NPI
- 1962294629
- Type
- Organization (Type 2)
- Primary specialty
- Adult Mental Health Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QM0850X
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
Practice location
5901 N Prospect Rd Ste 105
Peoria, IL 61614-4358
(815) 701-6317