| NPI | 1003312943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE LISA REHM Owner 864-383-0384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 11284) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-06-16 |