| NPI | 1649548793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM L WALLACE President 479-957-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0702007) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |