NPI | 1841639788 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GARY SHULER Owner 479-200-7157 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 1570-c) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2013-06-24 |