| NPI | 1073366654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY D KING Licensed Professional Counselor 803-386-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |