| NPI | 1093229700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKIE CHALONDA ROGERS Owner 803-774-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6260) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-03-17 |