| NPI | 1073643896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODESTINE BRODY Human Specialist Specialist Ii 843-317-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |