| NPI | 1063765725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOLPHUS Owner/Director 803-792-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QV0200X Clinic/Center, VA | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-12-03 |