| NPI | 1053719518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE PRATT Owner/ Therapist 864-515-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2024-09-06 |