| NPI | 1043486079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD MCKINNEY Consultant 843-556-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 16823) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |