| NPI | 1114376258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY NICOLE WALKER Licensed Professional Couneslor 843-209-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6243) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |