| NPI | 1023608668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN GREEN Owner/Therapist 864-313-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-02-06 |