| NPI | 1285168427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BROOKE JONES Owner 864-313-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5242) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |