| NPI | 1003167990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ROSEBERRY Executive Director 864-704-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5080) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |