Provider First Line Business Practice Location Address:
1903 GADSDEN ST
Provider Second Line Business Practice Location Address:
PALMETTO COUNSELING ASSOCIATES, LLC
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29201-2346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-254-9767
Provider Business Practice Location Address Fax Number:
803-254-9740
Provider Enumeration Date:
01/17/2007