| NPI | 1053007716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN MUNFORD Owner/Counselor 843-618-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |