| NPI | 1215331723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX LEONARD MONTGOMERY Owner / Independent Practitioner 803-807-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5689) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |