NPI | 1295212561 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY FLINT WALDRUP Owner 917-627-9782 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006688) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |