| NPI | 1457782914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA BUTTS Counselor 843-259-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5452) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5412) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |