Provider Demographics
NPI:1851756597
Name:ARROWLEAF
Entity Type:Organization
Organization Name:ARROWLEAF
Other - Org Name:FAMILY COUNSELING CENTER, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SENIOR FINANCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:K
Authorized Official - Last Name:COWSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-652-2046
Mailing Address - Street 1:300 RED BUD LN
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:IL
Mailing Address - Zip Code:62995-1792
Mailing Address - Country:US
Mailing Address - Phone:618-658-3079
Mailing Address - Fax:
Practice Address - Street 1:100 OLIVER ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:IL
Practice Address - Zip Code:62995-1686
Practice Address - Country:US
Practice Address - Phone:618-658-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services