| NPI | 1568007888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY R BOUKNIGHT Owner 803-380-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2021-06-10 |