| NPI | 1437993383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HOWERTER-ZULAWSKI Owner 309-279-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-08-19 |