| NPI | 1417341611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEON MARTIN Owner 803-467-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4911) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |