| NPI | 1073732822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE W, WHITTEMORE Director/Therapist 843-851-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-12-11 |