| NPI | 1043872187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY HUGHES Sole Mbr 843-254-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |