| NPI | 1427513290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIA NIZIOLEK Owner 224-489-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QH0100X Clinic/Center, Health Services | |
| 305S00000X Point of Service | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |