NPI | 1225445414 |
---|---|
Entity Type | Organization |
Authorized Contact | CARIN C KINARD Sole Member/Owner/Provider/Presiden 803-664-1714 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5615) |
Enumeration Date | 2014-07-19 |
Last Update Date | 2014-07-19 |