| NPI | 1235431784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL PATRICK EKONG Licensed Professional Counselor 843-642-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: SC 5026) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |