NPI | 1316187222 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA CHARLENE REVELS Counselor 803-329-7778 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4263) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2009-03-05 |