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 |