| NPI | 1629564323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LEE Director 864-300-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| 374K00000X | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |