| NPI | 1306220256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEI WOODLY President 479-841-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007268) |
| 101YP2500X Counselor, Professional (Licence: IL 178008081) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-14 |