| NPI | 1073560264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL GENE SHAVER President 803-731-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-10-09 |