| NPI | 1235453549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES G COX Licensed Professional Counselor 843-222-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 2833) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |