| NPI | 1255782934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN S HUCKS Licensed Professional Counselor 843-907-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5273) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |