| NPI | 1699140871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN CECIL KING Lcp / Owner 843-685-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4559) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |