| NPI | 1790220382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE EVADNE SUTTON President 843-770-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6335) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 111N00000X Chiropractor | |
| 171100000X Acupuncturist | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: SC 6335) | |
| 225700000X Massage Therapist | |
| 251V00000X Voluntary or Charitable (Licence: SC 6335) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |