| NPI | 1942421169 |
|---|---|
| Other Name | DWIGHT W WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-12-13 |