| NPI | 1699105841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN JEFFERY PHILLIPS President 479-747-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P9702005) |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2013-11-24 |