| NPI | 1831457985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA LEE LESCH Owner And Provider 843-670-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6818) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-09-05 |