| NPI | 1245655463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT K GRAINGER Executive Director 843-385-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5674) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |