NPI | 1073560264 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREL GENE SHAVER President 803-731-4708 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
103TC1900X Psychologist, Counseling | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2015-07-20 |