| NPI | 1750346532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L FAILE Owner 803-322-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3719) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3522) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2009-10-20 |