| NPI | 1447324793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA MELINDA FULLER Owner 843-661-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4040) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-03-13 |