| NPI | 1265644231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILTON LLOYD HELLAMS Administrator 803-699-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 877) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |