| NPI | 1386184315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VANDER LEY Owner 417-593-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008138) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |