| NPI | 1073905378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEROTHIA MCCULLOUGH Owner 864-478-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5544) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |