| NPI | 1073109575 |
|---|---|
| Other Name | THERESA MCDANIEL |
| Entity Type | Organization |
| Authorized Contact | THERESA D MCDANIEL Licensed Professional Counselor 803-999-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |