| NPI | 1588954994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA J TOMBERLIN Owner 864-353-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5163) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-03-27 |