| NPI | 1831514108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA KAY NANNA Counselor 843-789-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4379) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |