NPI | 1376941864 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA HARDWICK JONES Director 843-478-8316 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3336) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2014-12-15 |