| NPI | 1184765653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARY MARTIN Licensed Professional Counselor 843-673-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 326) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-27 |