| NPI | 1023362381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNNE LYNNE GALBALLY Owner 843-437-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4636) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |