| NPI | 1093173874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACHA BURGESS Chief Executive Officer 843-303-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6037) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-07-25 |