| NPI | 1871070870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J EVANS Owner 723-813-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA pc003010) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |