| NPI | 1790106508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SHIELDS Sole Member 479-443-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0501003) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |