| NPI | 1992250815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSEE CHRISTINE JONES Managing Partner 803-351-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6374) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9100) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |