| NPI | 1689112609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA B KUHLMANN Clinical Director 843-851-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5763) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |