| NPI | 1013515501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY KOSTKA Director Of Operations 224-520-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2022-01-11 |