WANING MOON LLC is a mental health (including community mental health center) clinic center in O Fallon, IL. WANING MOON LLC NPI is 1467144675. The provider is registered as an organization entity type.
The provider's business location address is:
502 W STATE ST
O FALLON, IL
ZIP 62269-913
Phone: (217) 891-4931
The provider's authorized official is Shelby Reece .
The authorized official title is Owner and has the following contact phone number (217) 891-4931.
The enumeration date for this NPI number is 5/25/2023 and was last updated on 5/25/2023.