| NPI | 1104261171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KISER ZIMBER Owner 815-540-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008583) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |